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[经颅多普勒超声在颅脑外伤后脑血流紊乱评估中的应用]

[The application of transcranial doppler sonography in the evaluation of cerebral flow disturbances after head trauma].

作者信息

Jarus-Dziedzic K, Zub W, Czernicki Z

机构信息

Kliniki Neurochirurgii, Instytutu Centrum Medycyny Doświadczalnej i Klinicznej, Polskiej Akademii Nauk.

出版信息

Neurol Neurochir Pol. 1999 Jan-Feb;33(1):151-67.

PMID:10399733
Abstract

Several types of cerebral blood flow disturbances, resulting from head trauma are discussed. Application of Transcranial Doppler Sonography in diagnosing of posttraumatic cerebral vasospasm and cerebral hyperaemia, increased intracranial pressure, autoregulation disturbances, and brain death is described. Clinical examples of isolated cerebral blood flow disturbances, and several types of their co-existence are given. Special attention was paid to the noninvasiveness, repetitiveness, and relative ease of use of the technique. Transcranial Doppler examination can be especially useful in diagnosis and monitoring of different cerebral blood flow disturbances, which is especially important in therapy of brain trauma patients.

摘要

本文讨论了由头部创伤引起的几种类型的脑血流紊乱。描述了经颅多普勒超声在诊断创伤后脑血管痉挛、脑充血、颅内压升高、自动调节紊乱和脑死亡中的应用。给出了孤立性脑血流紊乱的临床实例及其几种共存类型。特别关注了该技术的非侵入性、可重复性和相对易用性。经颅多普勒检查在诊断和监测不同的脑血流紊乱方面可能特别有用,这在脑外伤患者的治疗中尤为重要。

相似文献

1
[The application of transcranial doppler sonography in the evaluation of cerebral flow disturbances after head trauma].[经颅多普勒超声在颅脑外伤后脑血流紊乱评估中的应用]
Neurol Neurochir Pol. 1999 Jan-Feb;33(1):151-67.
2
[Dynamics of cerebral circulation on the basis of transcranial Doppler ultrasonography evaluation in patients with moderate and minor head injury].[基于经颅多普勒超声评估的轻中度颅脑损伤患者脑循环动力学]
Neurol Neurochir Pol. 2001 Mar-Apr;35(2):261-79.
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Transcranial Doppler ultrasonography in intensive care.重症监护中的经颅多普勒超声检查
Eur J Anaesthesiol Suppl. 2008;42:167-73. doi: 10.1017/S0265021507003341.
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Effect of transient moderate hyperventilation on dynamic cerebral autoregulation after severe head injury.短暂中度过度通气对重度颅脑损伤后动态脑自动调节的影响。
Neurosurgery. 1996 Jul;39(1):35-43; discussion 43-4. doi: 10.1097/00006123-199607000-00008.
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Transcranial Doppler monitoring in head injury: relations between type of injury, flow velocities, vasoreactivity, and outcome.颅脑损伤中的经颅多普勒监测:损伤类型、血流速度、血管反应性与预后的关系。
Neurosurgery. 1994 Jan;34(1):79-85; discussion 85-6.
6
Trans-cranial Doppler in severe head injury: evaluation of pattern of changes in cerebral blood flow velocity and its impact on outcome.经颅多普勒超声在重型颅脑损伤中的应用:脑血流速度变化模式评估及其对预后的影响。
Surg Neurol. 2005 Aug;64(2):174-9; discussion 179. doi: 10.1016/j.surneu.2004.11.030.
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[Value of transcranial Doppler sonography].[经颅多普勒超声检查的价值]
Infusionsther Transfusionsmed. 1993 Oct;20(5):267-71.
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[Transcranial Doppler sonography as a reliable diagnostic tool in craniocerebral trauma].
Unfallchirurg. 1993 Nov;96(11):569-75.
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Transcranial Doppler ultrasonography.
Neurosurg Clin N Am. 1994 Oct;5(4):619-31.
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[Application of transcranial Doppler ultrasonography in the assessment of cerebrovascular reactivity studies and cerebral vascular reserve estimation in patients with focal brain injury].经颅多普勒超声在局灶性脑损伤患者脑血管反应性研究及脑血管储备评估中的应用
Neurol Neurochir Pol. 1994 May-Jun;28(3):351-61.

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Usability of the Level of the S100B Protein, the Gosling Pulsatility Index, and the Jugular Venous Oxygen Saturation for the Prediction of Mortality and Morbidity in Patients with Severe Traumatic Brain Injury.S100B 蛋白水平、鹅颈搏动指数和颈静脉血氧饱和度对预测严重创伤性脑损伤患者死亡率和发病率的可用性。
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